Early College Recommendation Form for External (Non-ISS) Students

Early College Recommendation Form for External (non-ISS) students

* * * * * * * * * * * * * * * * * * * * * * * * MATH TEACHERRECOMMENDATION * * * * * * * * * * * * * * * * * * * *

To the Student: Please fill in your information in the box below and give this form to a CURRENT academic teacher.

To the Teacher: The student named above is applying for admission to anEarly College. Students attend for five years and earn a high school diploma and an Associate’s Degree or two years of college credit. Please use this form to share your perceptions of how this student will meet the academic and social responsibilities of the school. These are due by February 3, 2017 at 3:00 PM.

Teacher Name: ______Email address: ______

How long have you known the applicant? ______Current subject grade: ______

Poor
1 / 2 / 3 / 4 / 5 / Superior 6 / N/A or Not Observed
Academic Ability in Subject
Daily Preparation
Participation
Motivation (Very Important)
Verbal Communication Skills
Problem-Solving
Ability to Work as a Team Member
Leadership Skills
Assignments submitted on time & complete

1. Do you recommend this student to the early college program (ALL Honors and College level)? Please explain: ______

______

2. Please describe this student’s attitude/work ethic (include any behavioral issues). ______

______

3. Please describe this student’s at-risk factors (for example: dropping out, peers ostracize, misfit-ness, IEP/ESL/504, underachiever, requires strong school/teacher support, recent adoption/group home, socio-economic status, etc.)

______

4. What is the next recommended level of math for this student? __Foundations of Math I __Math I __ Math II

Teacher Signature _______Date ______

Early College Recommendation Form

* * * * * * * * * * * * * * * * * * * * * * * * LANGUAGE ARTS TEACHERRECOMMENDATION * * * * * * * * * * * * * * * *

To the Student: Please fill in your information in the box below and give this form to a CURRENT academic teacher.

Teacher Name: ______Email address: ______

How long have you known the applicant? ______Current subject grade: ______

1. Do you recommend this student to an early college program (ALL Honors and College level)? Please explain: ______

______

2. Please describe this student’s attitude/work ethic (include any behavioral issues). ______

______

Teacher Signature _______Date ______

Early College Recommendation Form

* * * * * * * * * * * * * * * * * * * ** COUNSELOR/ADMINISTRATOR RECOMMENDATION * * * * * * * * * * * * * * * * *

To the Student: Please fill in your information in the box below and give this form to your CURRENT counselor.

To the counselor: The student named above is applying for admission to anEarly College. Students attend for five years and earn a high school diploma and an Associate’s Degree or two years of college credit. Please use this form to share your perceptions of how this student will meet the academic and social responsibilities of the school. These are due by February 3, 2017 at 3:00 PM.

Counselor Name:______Email Address: ______

1.How long have you known the student? ___ less than 1 year, ___ 1-2 years, ___ more than 2 years.

2.Did the student initiate contact with you? If no, please explain your contact with the student in regards to early college. ____ yes

___ no, ______

______

3.Describe any at-risk factors for this student. (Examples include, but are not limited to: lack of family support, IEP/ESL/504, needs extensive teacher support, recently adopted or placed in group home, severely ostracized by peers, likely to drop-out, misfit-ness, socio-economic status, etc.)

______

4.Do you recommend this student to the Early Colleges? Explain their potential success in rigorous classes and preparedness for Honors and College courses:

______

5.Describe the student’s attitude, work ethic, motivation, and include any behavioral concerns.

______

6.Explain the student’s ability to manage flexibility and freedom within the school day. Explain the student’s ability to manage flexibility and freedom within the school day. ______

Does this student receive services in any of the following programs? Check all that apply.

______IEP ______504 Plan ______ESL ______AIG/math ______AIG/Reading ____ No services

Counselor Signature _______Date ______

Section E. Records Release Form (Please give this form to data manager)

Student Name: ______

Power School ID: ______Date of Birth: ______

Which early college(s) are you applying to attend?

__ CCTL __ Crossroads Arts & Science Early College __ Agriculture & Science Early College

Consent to Access Records:

I hereby authorize counselors and/or institutions to release transcripts, educational records (including but not limited to Individualized Education Plans (IEP), Section 504 Plans, Academically and Intellectually Gifted (AIG) records, and ESL records), transcripts, attendance, discipline, testing results, mid-term grade reports, and final grade reports regarding the above named student to the early colleges. This authorization also allows Mitchell Community College or other post-secondary institutions to release enrollment information, class schedules, mid-term grade reports, and semester grade reports to the early colleges.

______

Applicant Name (printed)Applicant Signature Date

______

Parent/Guardian Name (printed)Parent/Guardian Signature Date

To the data manager: The student listed above is applying to an early college program. For the application process, early colleges require specific student data. Please print and mail the following reports to the early college(s) the student is applying to attend.

Student Data Checklist:

____ Historical grade report

____ Daily Attendance Report Summary

____ Test results (EOGs/EOCs)

____ Discipline Report

____ IEP/504/ESL Plan

Early College Mailing Addresses:

CCTL

500 W. Broad Street

Statesville, NC 28677

Crossroads Arts & Science Early College

476 North Center Street

Statesville, NC 28677

Agriculture & Science Early College

156 Raider Road

Olin, NC 28660